Chronic Obstructive Pulmonary Disease (COPD)

Contents List 

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Introduction

Screening

Pulmonary function tests (description, indications):                                                                     

        Ø    Blood gases, 

  Ø    Diffusion capacity, Lung compliance;                                                                                          

  Ø    Exhaled Nitrous Oxide                                                                                                               

  Ø    Lung volumes,                                                                                                                            

  Ø    Metacholine challenge,                                                                                                               

  Ø    Pulse Oximetry, Overnight home-based oximetry      

  Ø    Spirometry; Transtelephonic spirometry                                                                                       

  Ø    Vital capacity,                                                                                                                            

  Ø    Cardiopulmonary exercise testing                                                                                               

        Ø    Exhaled nitric acid testing for pulmonary disorders                                                                        

  Ø    References/resources for pulmonary function tests

Fiberoptic bronchoscopy

Fluorescence bronchoscopy/endoscopy

Total body plethysmography

Pilocarpine iontophoresis sweat test, quantitative

‘Virtual’ lung scans or Electron-beam computed tomography

Obstructive Sleep Apnea (OSA)

Sleep disorder studies/Polysomnography

o        Sleep disorder studies/Polysomnography  

o        Actigraphy testing

o        Multiple sleep latency test (MSLT)

Obstructive Sleep Apnea (OSA) Therapies

o       CPAP for obstructive sleep apnea

o        Noninvasive positive-pressure ventilation (NPPV)/Bilevel Positive Airway Pressure (BiPAP)

o       Sleep Apnea, Noninvasive Positive Pressure Ventilation (NPPV)/Bi-PAP, C-PAP – References/resources

o       Palatal implants for obstructive sleep apnea (OSA) 

o       Osteotomy (Maxillary, Mandibular) for sleep apnea 

o       Uvulopalatopharyngoplasty (UPPP) and palatopharyngoplasty (PPP)

*      Laser Assisted Uvulopharyngoplasty (LAUP) 

*      Radiofrequency volumetric tissue reduction (RFVTR) Uvulopharyngoplasty

*      Weight reduction for OSA 

COPD - Therapies

Cryotherapy for malignant endobronchial obstruction

Electrophrenic Pacemaker/Diaphragmatic/Phrenic Nerve Stimulator

Inhaled nitric oxide (INO)

Lung volume reduction surgery (LVRS)

Noninvasive Positive-Pressure Ventilation (NPPV)

Phrenic nerve pacing/Diaphragm pacing/Phrenic nerve stimulator

Pneumonia: Admission criteria; Duration and necessity of IV antibiotics; LOS


Respiratory Therapy Services/Physiotherapy (New 6-05)

o        Postural Drainage Procedures and Pulmonary Exercises

Pulmonary Rehabilitation (PR)

o        Outpatient Pulmonary Rehabilitation (PR)

o        Pulmonary Rehabilitation – reference/resource list

Smoking Cessation Benefits/Coverage

Pulmonary/lung transplants - coverage

Notes

Pulmonary/Respiratory DMS/DME

Ø      Airway Clearance/High Frequency Chest Wall Oscillation Devices

Ø      Mechanical in-exsufflation/in-exsufflator devices

Ø      Intrapulmonary Percussive Ventilator (IPV), Medicare NCD

Ø      Nebulizers

Ø      Oxygen coverage guidelines, outpatient

o        Portable oxygen guideline

o        Oxygen for travel

o        Prescribing oxygen therapy; references

Ø      Peak expiratory flow meters

Ø      Postural drainage boards/Standers, Boards and Tilt Tables

Ø      Respiratory Assist Devices

Ø      Suction pumps

Ø      Vaporizers

References/Resources

American Association of Respiratory Care: Clinical Practice Guideline – links

Reference/resource list by topic

Web resources - links

Pulmonary Notes

 

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